Individual
JESSICA ANN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
843248
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP133346
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP133346
TX
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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